RISK

ASSESSMENT
TEMPLATE
A Comprehensive Risk
Assessment Template
Risk Assessment
Date

Assessor’s name Assessment reference no. Review date

Endorsed by name Signature Position Date

Description of activity being assessed

Location

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 Who Risk level before
Additional Final risk level
Identified might be control measures Existing control To be actioned Completion
control measures (S x P = R)
hazards affected & (S x P = R) measures by date
required
how? S P R RR S P R RR

Who Risk level before

Additional Final risk level
Identified might be control measures Existing control To be actioned Completion
control measures (S x P = R)
hazards affected & (S x P = R) measures by date
required
how? S P R RR S P R RR

Risk Assessment Template

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 Who Risk level before
Additional Final risk level
Identified might be control measures Existing control To be actioned Completion
control measures (S x P = R)
hazards affected & (S x P = R) measures by date
required
how? S P R RR S P R RR

Who Risk level before

Additional Final risk level
Identified might be control measures Existing control To be actioned Completion
control measures (S x P = R)
hazards affected & (S x P = R) measures by date
required
how? S P R RR S P R RR

Risk Assessment Template

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 Who Risk level before
Additional Final risk level
Identified might be control measures Existing control To be actioned Completion
control measures (S x P = R)
hazards affected & (S x P = R) measures by date
required
how? S P R RR S P R RR

Who Risk level before

Additional Final risk level
Identified might be control measures Existing control To be actioned Completion
control measures (S x P = R)
hazards affected & (S x P = R) measures by date
required
how? S P R RR S P R RR

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Risk Matrix
Guidance Notes
Risk Matrix
R = Risk Degree
1 2 3
S = Severity of risk
P = Probability
1 1 2 3
RR = Risk Rating (High, Medium or Low)
2 2 4 6
Note: The formula for calculating risk is: S x P = R.
3 3 6 9

Risk Probability Severity

1-3 = Low 1 = Highly Unlikely 1 = Slight
4-6 = Medium 2 = Likely 2 = Serious
7-9 = High 3 = Highly Likely 3 = Major

Risk Risk Rating Actions Required

Continue to review working practices regularly and implement any additional control measures required within the time scale
1-3 Low
given in the Risk Assessment.
Implement control measures and review working practices regularly. Review tooling and working practices used to reduce the
4-6 Medium
probability of an accident to the lowest level possible (employee consultation should be included in the review).
Do not allow work to start and review working practices immediately. Implement all the additional control measures identified
7-9 High in the risk assessment. Continue to review and implement additional control measures until the probability of an accident
reduces to the lowest level possible. Employee consultation should be included in the review.

ID Additional assessments required Time scale Date actioned Reviewed Person responsible

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Additional Comments
1. This Risk Assessment needs to be discussed with the employees before they operate the plant / equipment on site to ensure compliance with all
control measures through their understanding.
2. Employees are to sign an acknowledgement sheet for their understanding of this Risk Assessment
3. The Risk Assessment is to be reviewed on an annual basis or sooner if changes are made to the plant or working practices or after an accident /
near miss.
4. This Risk Assessment must be approved by the nominated person for Health and Safety before being issued as a live document.

Assessor 1 name Signature Date

Assessor 2 name Signature Date

We the undersigned have been fully briefed on this Risk Assessment and other control measures in place to reduce the risk of injury to the lowest possible
level. We fully understand our duties as employees to follow the control measures in this Risk Assessment.
Employee name Job description Date Employee comment/recommendations Signature

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